CHILD SUPPORT GUIDELINES COMPUTATION FORM
COMPLETION INSTRUCTIONS
FILING OF FORM
The Child Support Computation Form must be signed by the judge and attached to all
orders that establish or m odify a child support obligation. (43 O.S. § 120)
HEADING
1. Enter as the heading, "Office of Administ rative Hearings: Child Support" if the
proceeding is in administrative court. If t he proceeding is in District Court, enter as
the heading, "In the District Court of __________ County." (Enter the name of the
county in which the order will be filed.)
2. Enter the names of the parties as they appear in the court action.
3. Enter the District Court case number if the case is in District Court.
4. Enter the OK IV-D number, that is, the Family Group Number (FGN), used by
OKDHS Child Support Enforcement Division (CSED) in their records.
5. Enter the administrative OAH court case number if the case is in administrative
court.
6. Enter the number of children included in this FGN for whom support is being
calculated.
7. Enter the parent who is the oblig or, that is, the mother or father.
Note: The obligor is the noncustodial parent who is obligated to pay child support.
The obligee is the custodial person to whom child support is owed.
8. Enter the number of nights t he children stay with the obligor.
A. BASE MONTHLY OBLIGATION
LINE 1 – GROSS MONTHLY INCOME [43 O.S. § 118 (E) (1) - (4)]
Enter Father's and Mother's gross monthl y income from employment and all other
sources, except child support and means-tested public assistance, such as Temporary
Assistance to Needy Families (TANF), Supplem ental Security Income (SSI), General
Assistance, State Supplemental Payments (SSP) for Aged, Blind and the Disabled, and
Food Stamps.
Gross Income:
To determine gross income, use:
1. All earned and passive monthly income, or
2. All passive income, and earned income equivalent to a forty-hour work week plus
such overtime and supplemental income as the court deems equitable,
or
3. Average of gross monthly income for the ti me actually employed during the previous
3 years,
or
4. Minimum wage for a 40 hour work week, or
5. Imputed gross monthly income in the amount a person with comparable education,
training and experience would reasonably expect to earn.
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Earned income is defined as income received from labor, or the sale of goods or
services and includes but is not limited to, income from salaries, wages, commissions,
bonuses, and severance pay.
Passive income is defined as all other income and includes, but is not limited to income
from dividends, pensions, rent, interest income , trust income, annuities, social security
benefits, workers' compensatio n benefits, unemployment insurance benefits, disability
insurance benefits, gifts, prizes, and royalties.
Gross income from self-emplo yment, rent, royalties, and proprietorship of a business or
corporation is defined as gross receip ts minus ordinary and necessary expenses
required for self-employment or business oper ations. An amount equal to the employer
contribution for FICA tax that an employer would withhold from an employee's earnings
on an equivalent gross income amount may be deducted from self-employment gross
income.
LINE 2 – LESS COURT ORDERED OPT IONAL MONTHLY ADJUSTMENT FOR
MARITAL DEBT
Enter the amount of reasonable expenses attributable to debt service for preexisting,
jointly acquired debt of the parents. This amount may be deducted from gross income
to the extent payment of the debt is actually made.
LINE 3 – LESS COURT ORDERED MONTHLY CHILD SUPPORT AND SUPPORT
ALIMONEY ACTUALLY PAID (FOR OTHERS)
Enter the amount of the court ordered monthly child support and support alimony
actually paid by either parent in other cases based upon prior orders.
LINE 4 – ADJUSTED GROSS MONTHLY INCOME
Subtract the amounts on Lines 2 and 3 from Line 1 to determine the Adjusted Gross
Monthly Income.
LINE 5 – PERCENTAGE SHARE OF INCOME
Divide the Adjusted Monthly Gross Income on Line 4 for each parent by the Combined
Monthly Gross Income on Line 4 to dete rmine the percentage each parent has of the
Combined Monthly Gross Income.
LINE 6 – BASE MONTHLY OBLIGATION
Using the Child Support Guideline Schedule in 43 O.S. § 119, determine the Combined
Base Monthly Obligation for the number of children in this calculation based on the
Combined Adjusted Monthly Gross Income in Line 4. Multiply the Combined Base
Monthly Obligation by the percentage for each parent on Line 5 to determine each
parent's share of t he base obligation.
Example: A couple has two children. T he father has $1, 400 adjusted monthly gross
income and the mother has $1,100. Their combined adjusted monthly gross income is
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$2,500. The father has 56% of the combined adjusted monthly gross income and the
mother, 44%. According to the Child Suppor t Guideline Schedule in 43 O.S. § 119, the
Combined Base Monthly Obligation would be $643. The father's base child support
obligation is $360.08 ($643 x .56) and t he mother's, $282.92 ($643 x .44).
B. SHARED PARENTING ADJUSTMENT [43 O.S. § 118 (E) (10)]
The shared parenting adjustment provides an adjustment to the child support obligation
in cases when shared parenting time is or dered. This adjustment is used when an
obligor has physical custody of the children ov ernight for more than 120 nights per year.
If this occurs, the amount of the base support obligation from the Child Support
Guideline Schedule is multiplied by 1.5.
LINE 7 – NUMBER OF OVERNIGHTS WITH EACH PARENT (If less than 121 for
obligor, skip to C.)
Enter the number of overnights the child(ren) spend with each parent. The two amounts
must total 365.
LINE 8 – PERCENTAGE WITH EACH PARENT
Divide the number of overnights with each parent on lin e 7 by 365 to determine the
percentage of time the ch ildren spend with each parent. The percentages for each
parent's parenting time must add up to 100%.
LINE 9 – SHARED PARENT BASE OBLIGATION
Multiply line 6 by 1.5 to determine the Shared Parent Base Obligation.
LINE 10 – EACH PARENT'S SHARE
Multiply line 9 by Line 5 for each parent to determine each parent's share of the Share
Parenting Base Monthly Obligation.
LINE 11 – AMOUNT RETAINED BY EACH PARENT
Multiply Line 10 for each parent by the percentage on Line 8 for each parent.
LINE 12 –OFFSET AMOUNT
Subtract Line 11 from Line 10 for each parent.
LINE 13 – ADJUSTED BASE MONTHLY OBLIGATION
Subtract the smaller amount on Line 12 from the larger amount and enter the difference
in the column of the parent with the larger amount. If t he parent with the greater amount
is not the obligor, enter "0" in the obligor's column. In this instance, even though there
is an amount in the obligee's column, the obli gee owes zero to the obligor pursuant to
43 O.S. § 118 (E) (10)(f).
C. HEALTH INSURANCE PREMIUM
LINE 14 – MONTHLY HEALTH INSURANCE PREMIUM
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Enter the premium amount each parent is actually paying for medical and dental
insurance for the children before the court in the appropriate column. If the premium
covers persons other than the children in this calculation, determine how much of the
premium is for the children in this calc ulation. Both parents may have an amount
entered in Line 14 if both have health insur ance premiums for the children in this
calculation.
LINE 15 –MONTHLY HEALTH INSURANCE PREMIUM SHARE
Multiply the combined premium amount in Line 14 by the percentage for each parent in
Line 5.
LINE 16 – ADJUSTED PREMIUM SHARE
Leave the obligee amount blank. Subtract the obligor amount in Line 14 from the
obligor amount in Line 15. If the obligee's share is greater than the obligor's, the
difference will be greater than zero (positive amount). If the obligor's share is greater
than the obligee's, the difference wil l be less than zero (negative amount).
If the remainder is greater than zero, add th e amount to Line 6 or Line 13 and enter the
total in Line 21. If the remainder is less than zero, subtract the amount from Line 6 or
Line 13 and enter the di fference in Line 21.
D. WORK AND EDUCATION RELATED CHILD CARE EXPENSES
[43 O.S. § 118 (E) (13)]
LINE 17 –MONTHLY CHILD CARE EXPENSES
Enter the actual monthly amount each parent pays for child care expenses for the
children in this calculation unless the obligee is an Oklahoma Departmen\
t of Human
Services (OKDHS) child care subsidy recipien t. If the obligee is an OKDHS child care
subsidy recipient, skip to Line 18.
Actual child care expenses are allowed if reasonably necessary for either or both
parents to be employed, seek employment or attend school or training to enhance
employment income. The actual child care costs shall be allocated and paid monthly in
the same proportion as base child support.
LINE 18 – OKLAHOMA DHS CHILD CARE SUBSIDY [43 O.S. § 118 (E) (13)(b)]
Complete this section only if the obligee is participating in the OKDHS child care
subsidy program. This section is used to determine the child care expenses to be
treated as the obligee's family share co-pay ment amount when the obligee is receiving
subsidized child care.
Multiply Line 18f by Line 18b (the number of ch ildren from this calculation in subsidized
childcare) and divide by Line 18a (the total num ber of children in subsidized child care)
and enter the amount in Line 18 to reflect th e prorated amount of the family share co-
payment for the number of child ren in this calculation.
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a. Enter the total number of children in the obligee's child care subsidy case.
b. Enter the number of children of these parents who are included in the obligee's
child care subsidy case.
Example: Obligee receives OKDHS child care subsidy for a total of 3 children in
the household. One is the child of the Ob ligor in this case and two are not. Enter
"3" on line 18a and "1" on line 18 b. Parents will share 1/3 of the co-payment for
3 children, per line 18.
c. Enter the obligee's actual gro ss monthly income from Line 1.
As a reminder, do not enter child suppor t and means-tested public assistance,
such as Temporary Assistance to N eedy Families (TANF), Supplemental
Security Income (SSI), General Assist ance, State Supplemental Payments (SSP)
for Aged, Blind and the Disabled, and Food Stamps.
If the obligee's gross monthly income wa s imputed in Line 1 and the obligee's
actual gross monthly income is less than the amount in Line 1, use either Line 1
or the obligee's actual gross monthly income in Line 18c.
If the obligee is not the parent (for example, a grandmot her), and the obligee is
not legally and financially responsible for the child(ren) per a court order, enter
zero income in Line 18c instead of the amount entered in Line 1 for the parent's
gross income. Enter $-0- because OK DHS does not include a non parent's
income for child care subsidy determinat ion unless the non parent is legally and
financially responsible for the child. If a court order exists stating that the obligee
is legally and financially responsible for the child(ren), enter the obligee's income
in Line 18c.
d. Enter the obligor's base monthly obligation amount from Line 6.
e. Enter the total amount to be treated as the obligee's OKDHS household income
by adding Line 18c and Line 18d.
f. Using the Child Care Eligibility/Rates Schedule (Appendix C-4), determine the amount to be treated as the obligee's family share co-payment amount based on
the scheduled amount for the level of in come in Line 18e for the number of
children in OKDHS subsidized child care. Enter this amount on Line 18f.
Note: The schedule for a family si ze of 5 members or less will be used
regardless of the number of pers ons in the obligee's household.
If the obligee's income in Line 18d falls wit hin a range that has an asterisk (*) in
the column, this means that the obligee pays the total cost of child care. Obtain
the actual current co-payment being paid by the obligee to the child care provider
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plus the OKDHS child care provider payment from the obligee and/or the child
care provider. Use this to tal to reflect the amount to be treated as the child care
expense. Enter this amount in Line 17 in stead of Line 18f. If there are children
in subsidized child care who are not in th is calculation, prorate the amount before
entering an amount in Line 17, that is, divide the total child care amount by the
number of children in subs idized child care and multiply by the number of
children in this calculation.
Examples:
(1) Three children are in OK DHS subsidized child care. Two of these children are
in this calculation. The obligee's act ual gross monthly income is $893. The
obligor's base monthly obligation on Line 6 is $262.55. The amount treated as
the obligee's OKDHS household income is $1,155.55. According to Appendix
C-4, the total amount to be treated as the obligee's family share co-payment
amount is $108. The prorated amount to be entered in line 18 based on the
number of children in th is calculation is $72.
(2) Three children are in OK DHS subsidized child care and are all included in this
calculation. The obligee's imputed gross monthly income is $900 on Line 1.
The obligor's base monthly obligation on Line 6 is $657.50. The obligee's
actual gross monthly income used on Li ne 18c is $300. The amount treated as
the obligee's OKDHS household income is $957.50. According to Appendix C-
4, the total amount to be treated as the obligee's fa mily share co-payment
amount is $45. The amount to be entered in line 18 is $45.
(3) One child is in OKDHS subsidized child care. The obligee's actual gross
monthly income is $2,000. The obligor's base monthly obligation on Line 6 is
$433.81. The amount treated as the obligee's OKDHS household income is
$2,433.81. According to Appendix C-4, t he total household income falls within
a range that has an asterisk (*) in the column which means that the obligee
pays the total cost of child care. A determination is made that the actual
current co-payment being paid by the obligee to the child care provider plus the
OKDHS child care provider payment is $542. $542 is to be treated as the\
child
care expense and entered in Line 17 instead of Line 18f.
LINE 19 – CHILD CARE EXPENSE SHARE
Multiple Line 17 combined or obligee Line 18 by Line 5 for each parent. \
LINE 20 – ADJUSTED CHILD CARE CONTRIBUTION PAID BY OBLIGOR
Leave the obligee amount blank. Subtract the obl igor amount in Line 17 or Line 18 from
the obligor amount in Line 19. If the obligee 's share is greater than the obligor's, the
difference will be greater than zero (positive amount). If the obligor's share is greater
than the obligee's, the difference wil l be less than zero (negative amount).
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If the remainder is greater than zero, add the amount to Line 6 or Line 13 and enter the
total in Line 21. If the remainder is less than zero, subtract the amount from Line 6 or
Line 13 and enter the di fference in Line 21.
LINE 21 – TOTAL MONTHLY CHILD SUPPORT OBLIGATION
Add the obligor's Line 6 or Line 13 and Li nes 16 and 20 (if positive amounts) and enter
the total. Subtract Lines 16 and 20 (if negativ e amounts) from obligor's Line 6 or Line
13 and enter the difference.
E. OTHER CONTRIBUTIONS, IF AGREED OR ORDERED
LINE 22 – RECURRING MONTHLY MEDICAL EXPENSES
Recurring fixed amounts of mont hly medical expenses for the children, in addition to the
monthly health insurance premium may be allocated according to each parent's
percentage on Line 5. Recurring fixed medica l expenses include, but are not limited to,
monthly payments for ort hodontia, optometric, physica l therapy, psychological
counseling, or asthma-related expenses.
Multiply the recurring monthly medical expe nse each parent's percentage on Line 5 and
enter the amount.
LINE 23 –OTHER MEDICAL EXPENSES PERCENTAGE SHARE
Enter Line 5.
LINE 24 – VISITATION TRANSPORTATION COSTS
Transportation expenses of a child between t he homes of the parents may be divided
between the parents in proportion to the adjusted gross income.
Multiply the combined transportation expense of the children between the homes of the
parents that is ordered by a c ourt and actually paid by Line 5 to determine each parent's
prorated share.
PAYMENT DATE
Enter the exact date the child support payment is to be paid each month.
DEVIATIONS
Check the appropriate box to indicate if t he child support guidelines were followed to
determine the child support obligation or if a deviation was allowed by the Court.
The amount set forth in the child support guidelines is presumed to be the correct
amount of child support to be ordered. Only the Court ma y deviate from the guidelines
if the amount indicated is unjust, inequita ble, unreasonable, or inappropriate under the
circumstances, or not in the best interest of the child. If the Court deviates, the Court
must make specific findings of fact s upporting the deviation. [43 O.S. § 118 (B)]
EXCEEDING GUIDELINES SCHEDULE
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If the combined gross monthly income exceeds $15,000, the amount to be used for
child support is the amount computed for a monthly income of $15,000. The court will
determine any additional amount . [43 O.S. § 119 (B)]
If there are more than six children in the household, the num ber of children to be used
to determine the child support amount is si x. The court will determine any additional
amount. [43 O.S. § 119 (C)]
DATE
The Judge must date this form.
JUDGE'S SIGNATURE
The Judge must sign this form.
APPROVAL
The parties or their attorneys may approve this form.
Revised 09/01/05
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